Individual
MRS. CRYSTAL LYNNE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, RD, LDN
Contact information
Practice address
851 S WILLOW AVE STE 108, COOKEVILLE, TN 38501-4223
(931) 284-4060
Mailing address
224 HEMLOCK DR, CROSSVILLE, TN 38555-6988
(931) 248-1397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2555
TN
163W00000X
Registered Nurse
98700
TN
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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